Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study
Lancet
; 390(10107): 2037-2049, 2017. tab, graf, ilus
Article
in English
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1064599
Responsible library:
BR79.1
Localization: BR79.1
ABSTRACT
Background The association between intake of fruits, vegetables, and legumes with cardiovascular disease and deaths has been investigated extensively in Europe, the USA, Japan, and China, but little or no data are available from the Middle East, South America, Africa, or south Asia.Methods We did a prospective cohort study (Prospective Urban Rural Epidemiology [PURE] in 135 335 individuals aged 35 to 70 years without cardiovascular disease from 613 communities in 18 low-income, middle-income, and highincome countries in seven geographical regions North America and Europe, South America, the Middle East, south Asia, China, southeast Asia, and Africa. We documented their diet using country-specific food frequency questionnaires at baseline. Standardised questionnaires were used to collect information about demographic factors, socioeconomic status (education, income, and employment), lifestyle (smoking, physical activity, and alcohol intake), health history and medication use, and family history of cardiovascular disease. The follow-up period varied based on the date whenrecruitment began at each site or country. The main clinical outcomes were major cardiovascular disease (defined as death from cardiovascular causes and non-fatal myocardial infarction, stroke, and heart failure), fatal and non-fatal myocardial infarction, fatal and non-fatal strokes, cardiovascular mortality, non-cardiovascular mortality, and total mortality. Cox frailty models with random effects were used to assess associations between fruit, vegetable, and legume consumption with risk of cardiovascular disease events and mortality.
Full text:
Available
Collection:
National databases
/
Brazil
Database:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Main subject:
Cardiovascular Diseases
Type of study:
Etiology study
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Observational study
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Prognostic study
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Risk factors
Language:
English
Journal:
Lancet
Year:
2017
Document type:
Article
Institution/Affiliation country:
Aga Khan University/PK
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Cardiovascular Research Institute/IR
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Dante Pazzanese Institute of Cardiology/BR
/
Estudios Clinicos Latinoamerica ECLA/AR
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Eternal Heart Care Centre and Research Institute/IN
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Faculty of Health Sciences/CA
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Fuwai Hospital/CN
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Hatta Hospital/AE
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Health Action by People/IN
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Independent University/BD